Postmenopausal Women and Osteoporosis Prevention: Can Community Exercise Help?
Women often juggle many roles including work, family and community involvement as a result of which, their exercise takes a back seat. It is seen that rigorous exercise regimes can be even more difficult for women in the post-menopausal age, particularly for those who have always led sedentary lifestyles. Therefore, more studies are necessary to see if it would be possible to develop community based exercise routines to improve bone health in women in their 50s and 60s. These community workout routines for women could perhaps prevent osteoporosis, incidences of which are on the rise, apart from general improvement in physical and emotional well being.
Components of community based workouts for osteoporosis prevention
Certain studies have shown good results in prevention of osteoporosis with the help of supervised community exercise sessions lasting for 60 to 75 minutes three times each week. These exercise routines typically include following components:
- 5 to 10 minutes of warm up- including walking.
- 25 minutes of weight training- Stepping and stair climbing
- 40 minutes of resistance exercises for small and large muscle groups-Back extension, leg press, rotary torso, seated one-arm dumbbell military press etc for larger muscle groups and the use of 1-3 pound dumbbells as well as exercises on physiotherapy ball for small muscle groups. .
- 5 minutes of Abdominal exercises including pelvic tilts, heel and foot lifts, knee ups, and leg slides (done in 3 sets of 6 to 8 repetitions). Ankle weights can be strapped for increased resistance.
- 5. 5 minutes of balancing and stretching including wall presses, single leg balancing, etc.
Naturally, for the success of such community exercise programs, it is essential to have excellent exercise facilities that offer proximity to participants’ homes, have the necessary training equipment, walking tracks and stair climbing availability etc. The facilities might offer free annual membership to participants and could also have administrative areas for the trainers.
Incorporating other social and community support in the exercise sessions
To incorporate other kinds of social and community support, the study encouraged following events which helped women adhere to the program and also form friendships and alliances that went beyond exercising.
- Community meals - Participants often met twice a month over meals which could be held in local parks or restaurants. Potlucks were also encouraged where each woman bring in her favourite meal.
- Educational guest lectures and forums - Psycho-social concerns of post menopausal women were addressed through meetings with expert doctors or annual forums.
- Follow ups through emails, newsletters and phone calls - If participants were staying absent from the community exercise for post menopausal osteoporosis prevention, then follow-ups were done by the active members through emails and phone calls.
- Community photo books - Annual photo books showcasing the pictures or videos of exercise sessions along with supporting educational articles, inspirational poems and workout timetables were printed along with important phone numbers.
- End of year party - This was an important social support for the test programs as they helped the community acknowledge accomplishments of the group. Certificates of excellence or participation were also distributed for further encouragement.
Naturally, the success of such community exercise programs mainly depend upon participants concern related to risk of developing osteoporosis. It is also important that trainers provide individual attention, constant feedback and ongoing motivation and support to the women. Removal of barriers like suitability of trainer hours could help increase the participation in the program. Finally, the community and training staff should create an atmosphere of fun as well as an enjoyment factor to encourage participants to show up for each training session.
For more information on developing community based workout routines for women in the
post menopausal age for osteoporosis prevention as well as the efficacy of the program, click here.